Out with the Old, In with the New

I tested on June 24th and got a BFN.  I called the ARS / RE's office and talked with the nurse.  She said they wanted me to go in for a pregnancy blood test to make sure. So I went in the next day.  She called me later that day with the results.  They were negative.  My progesterone level was good and she said the next time around they are going to start Prometrium 4 days after I ovulate.  She said to call when AF appears in full cycle to schedule appointments for the next cycle.  AF visited for a short visit that night, then went away until Sunday.  I called the office on Monday thinking they were going to have me come in that day, but they said that since AF wasn't a full flow until Sunday they would consider Sunday as CD1, so my appointment (u/s) was scheduled for Tuesday morning.  Tuesday, June 29th, I went in for my CD3 u/s.  I was a little taken aback by the u/s tech's first words to me.  She came in and said "aren't you supposed to be pregnant by now?"  I knew she was just joking and didn't mean anything harmful by it, but it made me a little uncomfortable and stung a bit.  Then she looked at the chart and saw it was only my 2nd month (2nd cycle) with them.  She said that I had some good things going last cycle - good lining, made a follicle big enough and I ovulated.  She started the u/s.  She said that I shed my lining, had no residual fluid and lots of eggs / follicles.  I met with the nurse and she gave me a calendar with the details of the plan for this cycle.  My plan for this cycle: Clomid for 5 days starting on June 29th.  Follistim injection on July 5th.  OPK on the 7th and 8th.  U/s on the 9th.  Ovidrel injection timed with ovulation.  IUI (2 rounds) timed with ovulation.  Start Prometrium 4 days after ovulation / Ovidrel injection.  Progesterone b/w one week after Ovidrel injection. The plan this time is similar in that I had the CD3 u/s, took Clomid for 5 days starting on CD3 and have a Progesterone b/w 1 week after ovulation.  It differs from last time because this time I will get Follistim injection instead of Gonal F and I receive it on CD9 where as I had the Gonal F injection on CD13.  I will also start Prometrium 4 days after ovulation. 

I started Clomid for 5 days that evening.  Instead of Gonal F, I had to purchase Follistim.  I received that injection on the 5th (CD9) in the back of my upper right arm.  Man, that injection stung and burned going in and even afterwards for a bit.  I was glad I went in to have the nurse give me the injection instead of trying to do it myself.  I don't know if I could've done it myself.  I took an OPK on Wednesday and Thursday with negative results for surge.  This morning when I went in for my u/s, I was having terrible pain and pulling below my stomach.  I told the u/s tech and she said something must be happening. I was actually fearful that I had ovarian hyperstimulation syndrome (ohs).  Well thankfully that's not what the pain was.  My lining was 7.6, I had no residual fluid and 4 follicles that she measured in my Left ovary.  They measured 25.5, 19, 16 and 10.5.  In my right ovary, I had 2 follicles that she measured.  They measured 15 and 10.5.  I was very excited about this news.  I can't believe all the follicles that are at a good size.  The tech said they measure any follicle over 10, but that they didn't expect the 10.5 ones to do anything.  She said the follicle that measures 16 (in my left ovary) and the one that measures 15 (in my right ovary) could still get bigger, so we couldn't discount them.  The tech said that is the reason I am having so much pain.  She said that I should just take it easy.  After the u/s, I saw the nurse.  She said that they had to go over my risk for multiples and make sure I wanted to proceed since I have 3 good size follicles in my left ovary.  She also made it clear that just because I have 3 good size follicles, nothing could still happen.  I told her I understood and wanted to go ahead with the plan.  She gave me the Ovidrel injection.  I must just be a wimp because that burned going in, too.  I have an IUI scheduled for tomorrow and Monday.  I start the Prometrium on Tuesday and go for a Progesterone b/w on Friday. 

That's Your Baby Maker and Ovidrel Injection

I used the OPK on Sunday and Monday and had no surge, so I called the ARS' office to schedule an u/s.  I was a little (OK, quite) disheartened that I hadn't received a surge.  I went to the u/s yesterday, which was CD16, and got great news!  While the tech was doing the vaginal u/s, she first checked my lining.  She said that it was looking good and was at a 10.  She said they like it to be 8 and above.  She then checked my uterus and checked for any fluid (which could have been left over indicating we missed my ovulation). Thankfully there was no fluid.  She viewed my right ovary and found a lot of small follicles.  Then viewed my left ovary and found the Baby Maker (as she referred to it).  She measured the biggest follicle and it was at 21 1/2!  Anything 18 and above is good.  I was so happy and excited when she told me how big it was.  She said that one is going to be your Baby Maker.  You can get dressed and go up to the front.  As I got off the u/s table and started to get dressed, I got so anxious, excited, happy, emotional, nervous, scared, etc that I started to cry.  I got a hold of myself, but was shaking a little.  I was so scared going into that appointment that things weren't going to progress.  I was feeling something going on inside, but didn't know what.  I guess I was feeling my body getting ready to ovulate!  I saw the nurse and she said that basically now they give me the Ovidrel injection, DH and I should get together that night or the next morning, come in on Wednesday for a post coital test, post ovulation u/s on Friday and progesterone b/w next Tuesday.  She gave me the Ovidrel injection in my right upper arm.  It stung a bit.  Needles are just unpleasant going into the body (at least for me).  I scheduled my appointments and left. 

Later, I was thinking that no matter what happens I thank God for getting me this far.  Knowing that my body (with the help of medication) has gotten to this point is somewhat of a relief to me.  Don't get me wrong, my ultimate joy will be when I hear those beautiful words: "you're pregnant!" and then of course when we hear our beautiful baby make his/her first cries / sounds! 

I am pretty nervous about the post coital test this afternoon.  I hope that everything is good and doing what they are supposed to be doing.  As stupid as this may sound, I just want to know when the ARS / nurse / u/s tech can tell us if we are pregnant.  I am not sure how much longer we have to wait to find out.  Then I think about twins / multiples.  Twins run in both of our families.  In my family both of my parents have twins in their family.  Then the Clomid, Gonal F and Ovidrel run the "risk" of multiples.  So does all of that multiply our chances of having multiples?!?  First I think, well I only have one follicle that is big enough to produce a mature egg, but then I am reminded that the egg can split to form twins, too. 

If you can't tell, I am a very impatient person.  I try to be more patient.  I try to be patient and listen to what God is trying to tell me or teach me during the waiting, but it's hard for me.  I feel like I have been patient long enough.  Yes, I understand that to some people TTC for 8 or 9 months is not very long.  I know that many have been trying for years and years.  I can't imagine that.  I don't know what I would do or will do if that is how long our journey is.  I know that things are in God's hands.  I have to put my trust in Him and know that His plan is what is best for me.

If you have a chance to say a little prayer for me and that the tests in the upcoming days all come up good and we get a positive result soon, I would really appreciate it. 

CD13 Ultrasound and Gonal F Injection

The (mail order) pharmacy that the ARS's office uses is great.  They have called me several times - 1st to confirm the script, date I needed it and get insurance and payment info, 2nd to see if I received the med and 3rd to make sure the order was correct.  And best of all the Ovidrel injection came the day it was supposed to and it was correct.

The OPKs were negative for a surge on the 3rd and 4th (CD11 and CD12).  I went in for my appointment on the 5th.  The u/s showed 2 follicles on my left ovary and 1 on my right ovary.  There was only 1 on my left that measured enough to be able to use.  The tech said it was at a 14 and they like to see it at 18.  She said it would probably get there in a couple of days.  Then I had an appointment with the nurse.  She said for me to continue doing the OPKs the next few days.  If I get a surge I am to inject myself with the Ovidrel.  If I do not show a surge by the 7th, I need to call them to schedule an u/s for the 8th (so they can see what happened).  She gave me an injection of Gonal F, which she said would give me a boost.  She also showed me how to give myself the Ovidrel injection when she was doing the Gonal F injection.  It burned when she was injecting me and even after it was injected.  She said that was normal and hopefully it wasn't / wouldn't be too uncomfortable.  She said if she was a betting woman, she would bet that I would have a surge by Monday.  Here's hoping so!

The OPK for later that day was negative for a surge.  The Gonal F injection site stopped burning, but is a little sore at times. 

I do worry about the medications (Clomid, Gonal F and Ovidrel) and the effect(s) they will have on my body in the long run.  I guess and hope that they are safe and don't / won't cause any kind of problems or disease.  I haven't done much, if any, research on the meds because I don't want to know.  I want another child.  I don't want DD to be an only child.  DD wants a sibling.  So at this point, I want to be ignorant of the side effects, short term and long term.  I trust the ARS and God and that's all I can do at this point.  I don't need any more stress. 

CD3 ARS Appointment

Wednesday the 26th I went to the ARS for an u/s, exam and b/w.  The ultrasound tech did a regular u/s and a vaginal u/s.  She showed me the follicles in my ovaries.  She said that on the screen they looked like a chocolate chip cookie. The ovaries being the cookie and the follicles being the chocolate chips.  Once she said that, it really did!.  After the u/s, I went to an exam room where the nurse had me get undressed and I  waited for her and the ARS to come in.  The ARS said he had good news: my uterus looked good and I have a lot of eggs (which could be because of the PCOS but it is probably more a sign of my fertility). Basically he said we just need to try to control my ovulation or see if we can control it. He did tell me that I have a fibroid.  He said it was very tiny and that they don't typically do anything for ones that tiny.  They will watch it to make sure it doesn't grow / get very big.  Since my period was different this month (much lighter and at that point almost non-existent), he ordered an HCG to make sure that I was not pregnant. he said if I was it would probably not take and we would have to wait for the numbers to drop.  He did an exam, taking samples in case we have to do IVF (and there might have been other reasons that I don't remember).  The nurse gave me a calendar for May and June that showed our plan outlined. Basically I took Clomid CD3-CD7 (5 nights). Then I started using an OPK on the 3rd (which was CD11) and was scheduled to come back to the office for another u/s on the 5th (CD13).  If the OPK showed a surge before my u/s, I was to call the office.  The nurse faxed a prescription for Ovidrel (an injection that I received through the mail).  I was told to bring the Ovidrel with me to my u/s on the 5th, if I had not had a surge before then.  Basically, when I have a surge, I take the Ovidrel.  The nurse said she didn't expect me to have a surge before the 5th, but I needed to test just in case.  She said to plan on coming back into the office for a postcoital test the 7th-9th.  Basically after I get the surge, I do the shot of Ovidrel, then we do the BD and come in to have my CM and the sperm checked. 

The Clomid (still the same dose) this time, seemed to make me very angry and on edge.  I barked and snapped at DH and DD several times.  Actually I don't know if it's the Clomid or the stress from being infertile and not being pregnant yet.  It's easier to blame the Clomid though.

Scare and Follow Up

At the end of September, I had a scare. I started bleeding. It kind of freaked me out because the first thing I thought of was - miscarriage. I stopped bleeding the next night. I have never had that short of a period. The next day I called the ob/gyn's office. The nurse said that it was just because my lining was so thick and it's just thinning out.

I was hoping (and thinking good thoughts) that we would be pregnant in October. I felt that at that point we were both ready. This was only the first cycle we had been TTC. I said several prayers to God that month. DD had been asking for a baby sister or brother. She said she wants one. I think she would be a good big sister. She deserves to be a big sister. I think she is ready, too.

I saw the ob/gyn on October 27th. They did a pregnancy test on me and it was negative. She started me on Prometrium until I had a period. We thought I hadn't had a period for about 50 something days, but in actuality it was 30 days. She said any bleeding is a period, no matter how long it lasts. When I called the nurse in October, she told me it wasn't a period, so I didn't count the days correctly.

By November 10th, I still hadn't started my period so I called the ob/gyn's office.I had been taking Prometrium for 14 days. The nurse said I should start within 2 weeks. It was Day 45, I started on Day 48.

I started charting my temperature (with a regular digital thermometer) on November 19th. I tested ovulation using an ovulation kit (that is old) on the 22nd, but it said I wasn't ovulating. I haven't checked my temperature since the 25th because the thermometer I was using is off by 2 degrees. Plus I've read it is best to use a BBT.